0001209191-12-029318.txt : 20120518 0001209191-12-029318.hdr.sgml : 20120518 20120518173113 ACCESSION NUMBER: 0001209191-12-029318 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120516 FILED AS OF DATE: 20120518 DATE AS OF CHANGE: 20120518 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Skogman Kyle D. CENTRAL INDEX KEY: 0001450680 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34257 FILM NUMBER: 12856667 MAIL ADDRESS: STREET 1: 411 FIRST AVENUE SE CITY: CEDAR RAPIDS STATE: IA ZIP: 52401 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: UNITED FIRE GROUP INC CENTRAL INDEX KEY: 0000101199 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 452302834 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 118 SECOND AVE SE CITY: CEDAR RAPIDS STATE: IA ZIP: 52407 BUSINESS PHONE: 3193995700 MAIL ADDRESS: STREET 1: P O BOX 73909 CITY: CEDAR RAPIDS STATE: IA ZIP: 52407 FORMER COMPANY: FORMER CONFORMED NAME: UNITED FIRE GROUP, INC. DATE OF NAME CHANGE: 20120202 FORMER COMPANY: FORMER CONFORMED NAME: UNITED FIRE & CASUALTY CO DATE OF NAME CHANGE: 19920703 4 1 doc4.xml FORM 4 SUBMISSION X0305 4 2012-05-16 0 0000101199 UNITED FIRE GROUP INC UFCS 0001450680 Skogman Kyle D. 118 SECOND AVENUE SE P.O. BOX 73909 CEDAR RAPIDS IA 52407-3909 1 0 0 0 Common Stock 2012-05-16 4 A 0 582 20.90 A 12212 D Common Stock 3520 I See footnote #3 Stock Option (right to buy) 21.095 2012-05-16 4 A 0 2145 0.00 A 2022-05-16 Common Stock 2145 2145 D Represents the grant of restricted stock to the Reporting Person under the Issuer's 2005 Non-Qualified Non-Employee Director Stock Option and Restricted Stock Plan. These shares vest, subject to certain conditions, on May 16, 2013. The total number of securities beneficially held directly by the reporting person following the reported transaction includes: 10,900 shares held in a trust account for which Mr. Skogman serves as trustee; 730 shares held jointly in a brokerage account by Mr. Skogman and his wife; and 582 shares of restricted stock which vest, subject to certain conditions, on May 16, 2013. The total number of securities beneficially held indirectly by the reporting person following the reported transaction includes: 670 shares held in a simplified employee pension (SEP) account for Mr. Skogman's benefit; 200 shares held in an individual retirement account for Mr. Skogman's benefit; 1,000 shares held individually by Mr. Skogman's wife; 1,500 shares held in a trust account for the benefit of Mr. Skogman's wife; and 150 shares held in an individual retirement account for the benefit of Mr. Skogman's wife. 2,145 options become exercisable in five equal installments of 429 options each on 05/16/2013, 05/16/2014, 05/16/2015, 05/16/2016 and 05/16/2017. /s/ Kyle D. Skogman by Dianne M. Lyons, Attorney-in-Fact 2012-05-18